Join a Team

Team Member:

You will be able to log in to personalize your own web page and view donations.

First Name*

Last Name*

Address*

Address, line 2

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Zip/Postal Code*

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Preferred Phone

E-mail Address (and username)*

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Waiver* I know that plunging into the ocean
could be potentially hazardous for me or for my minor child. I (he/she) will not participate in the
Valentine Plunge on February 3, 2018 unless medically able. I assume all risks associated with participation
in this event including, but not limited to, contact with other persons, effects of the weather including
freezing temperatures and water, weather conditions and conditions of the roads, all such risks being
known and appreciated by me. Having read this waiver and knowing these facts, I for myself, and anyone
entitled to act on my behalf, waive and release Joan Dancy & PALS Foundation, staytough.fightHARD INC.,
the Borough of Manasquan and all of their affiliates and subsidiaries, all Valentine Plunge volunteers,
all sponsors, their representatives and successors from all claims or liabilities of any kind arising
out of my participation in this event, even though that liability may arise out of negligence or
carelessness on the part of the persons named in this waiver. I grant permission to all of the
foregoing to use any photographs, motion pictures, recordings, or any other record of this event
for any legitimate purpose. I acknowledge Joan Dancy & PALS Foundation and the Valentine Plunge
Committee are not responsible for any valuables or personal property. Parents or guardians
of participants under 18 will need to sign this waiver on the day of the event.